DOCSLIB.ORG

Autoerotic Asphyxia and Asphyxial Games As Part of the Same Syndrome Andrés Rodríguez Zorro

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Autoerotic Asphyxia and Asphyxial Games As Part of the Same Syndrome Andrés Rodríguez Zorro Unintentional Asphyxial Deaths in Adolescence Autoerotic Asphyxia and Asphyxial Games as Part of the Same Syndrome Andrés Rodríguez Zorro William Harvey Research Institute MSc in Forensic Medical Sciences Unintentional Asphyxiation Deaths in Adolescents: Autoerotic asphyxia and asphyxial games as part of the same syndrome Forensic Pathology Andrés Rodríguez Zorro Student ID: 100511332 Monday, September 3th, 2012 Supervisor: Professor Peter Vanezis Word count: 19.575 Dissertation submitted to Queen Mary University of London in partial Fulfillment of the requirements for the Master of Science degree Beneficiario Colfuturo 2011. Unintentional Asphyxial Deaths in Adolescence Autoerotic Asphyxia and Asphyxial Games as Part of the Same Syndrome Andrés Rodríguez Zorro CONTENTS LISTE OF TABLES 3 ACKNOWLEDGMENTS 4 1.0 ABSTRACT 5 2.0 METHOD OF UNDERTAKING THE LITERATURE SEARCH 6 3.0 INTRODUCTION 7 3.1 Definition of autoerotic asphyxia 7 3.2 Definition of asphyxial games 8 3.3 History 9 3.4 Neurophysiology of neck compression asphyxias 12 3.5 Characteristics of autoerotic asphyxiation 16 3.6 Characteristics of asphyxial games 18 3.7 Aims 21 4.0 RESULTS 4.1 Who plays asphyxial games 23 4.2 Who are the victims of autoerotic asphyxia in general population 28 4.3 Who are the victims of autoerotic asphyxiation in adolescence 32 4.4 Who are the victims of asphyxial games 36 4.5 Comparative analysis of asphyxial games and autoerotic asphyxia 41 5.0 DISCUSSION 5.1 Etiologic theories 44 5.2 Sociological view: the ordeal or radical confrontation with death 46 5.3 Confrontation with risk in adolescence 48 5.4 Childhood rope syndrome 51 5.5 Part of same syndrome 52 5.6 Risk of death 61 5.7 Limitations 63 5.8 Recommendations 65 6.0 REFERENCES 67 Beneficiario Colfuturo 2011. Unintentional Asphyxial Deaths in Adolescence Autoerotic Asphyxia and Asphyxial Games as Part of the Same Syndrome Andrés Rodríguez Zorro LIST OF TABLES Table 1 : Neurophysiology: agonal sequences in hanging 14 Table 2 : Outcome with various techniques of asphyxial games 21 Table 3 : Participation rate of students in asphyxial games 27 Table 4 : Key characteristics of asphyxial games in living participants 28 Table 5 : Risk factors linked to living players of asphyxial games 28 Table 6 : Series of fatal cases of autoerotic asphyxia in general population 30 Table 7 : Key characteristics of victims of autoerotic asphyxia in general population 32 Table 8 : Fatal cases of autoerotic asphyxia in adolescents reported in literature 34 Table 9: Key characteristics of victims of autoerotic asphyxia in adolescents 35 Table 10 : Fatal cases of asphyxial games reported in literature 38 Table 11 : Key characteristics of victims of asphyxial games 41 Table 12 : Comparison between fatal cases of autoerotic asphyxia and asphyxial games 43 Beneficiario Colfuturo 2011. Unintentional Asphyxial Deaths in Adolescence Autoerotic Asphyxia and Asphyxial Games as Part of the Same Syndrome Andrés Rodríguez Zorro Acknowledgments: My sincere thanks to Professor Peter Vanezis for his commitment and dedication as a teacher in each of his presentations during the program, for sharing his experience and knowledge in the practice of autopsies and for his guidance in addressing the subject of this dissertation. It is an honor to have been a pupil of the highest authority in the field of forensic pathology in the UK. Thanks to the entire faculty of the Masters program and at Barts and the London School of Medicine and Dentistry; to life for giving me a second chance and allowing me to grow personally, academically and professionally during my year at fascinating London. Beneficiario Colfuturo 2011. Unintentional Asphyxial Deaths in Adolescence Autoerotic Asphyxia and Asphyxial Games as Part of the Same Syndrome Andrés Rodríguez Zorro 1.0 ABSTRACT OBJECTIVES: Unintentional asphyxia among preadolescents and adolescents by compression of the neck and other means of inducing hypoxia / anoxia in order to get exhilarating effects are not new or uncommon behaviors and can lead to death by accident. Medical science has described autoerotic asphyxiation and more recently asphyxial games “choking games” as different entities. This study addresses both behaviors to understand the characteristics of how these practices are presented as well as the risks factors to them in order to determine if there are substantial differences between the two practices, or if instead they are related behaviors. Accurate knowledge of these behaviors based on scientific evidence will facilitate the understanding of the etiology and manifested features and facilitate the implementation of preventive measures to avoid such deaths. METHODS : A retrospective study of fatal cases published in recognized scientific journal articles of both autoerotic asphyxiation and choking game behaviors in the adolescent population was made. Articles on sociology, psychoanalysis and psychiatry as well as studies previously published case series and epidemiological studies to assess student population etiological factors and risk factors associated with behaviors were included in this review. Features of both behaviors, such as prevalence, age distribution, gender, type of asphyxia and place of occurrence are presented. RESULTS : The results are consistent in all variables analyzed for both behaviors. Most practitioners are men. Cases of both behaviors in preadolescence show a tendency to increase with age. The most frequent type of asphyxia identified was hanging conducted in private quarters. Psychiatric and psychoanalytic literature identifies common elements between male castration complex, failed oral psychosexual development and the practice of asphyxia in its integration with sociological theories of risk and confrontation ordeal in adolescence. The review of epidemiological studies reveals common elements in the development of both practices in terms of risk factors. CONCLUSIONS: The evidence suggests a link between both practices and allows to theorize that they are part of the same syndrome. Integrating psychoanalytic and sociological concepts as well as the risk factors suggests a linear sequential model of development in four stages: childhood syndrome rope, asphyxial games associated to masturbation, Adolescent autoerotic asphyxia and Adult Autoerotic Asphyxia fetishist / bondage Syndrome. Death is explained in each of the stages as failed physiological and emotional adaptation mechanisms. It is important to disseminate knowledge of these practices among health professionals and further studies should be carried out in regarding deaths by hanging in children and adolescents. Beneficiario Colfuturo 2011. Unintentional Asphyxial Deaths in Adolescence Autoerotic Asphyxia and Asphyxial Games as Part of the Same Syndrome Andrés Rodríguez Zorro 2.0 METHOD OF UNDERTAKING THE LITERATURE SEARCH The analyses were based on an extensive search of electronic databases available through the Queen Mary University of London and British Library. The databases included both: medical and psychological publications: PubMed (Medline), PsychINFO, PsycARTICLES, PsycCRITIQUES, PsycEXTRA and the Psychology and behavioral Sciences Collection. The terms used for the search were: choking game, asphyxial games, self strangulation games, sexual asphyxia, autoerotic asphyxia, autoerotic asphyxiation, autoerotic fatalities, autoerotic death, hypoxiphilia, asphyxiophilia, sexual asphyxia syndrome, adolescent sexual asphyxia, adolescent asphyxia, unintentional asphyxia, voluntary asphyxia. All published studies and articles available were reviewed and the papers considered for the revision were: 1. Studies of series of fatal cases of autoerotic asphyxia in general population 2. Case reports of voluntary asphyxia deaths in late infants, preadolescents and adolescents (age between 7 and 19 years). 3. Studies of both: asphyxial games and autoerotic asphyxia in preadolescents and adolescents. Other autoerotic deaths (non asphyxial) were excluded. 4. Peer reviewed journals and articles 5. Publications in English, French or Spanish. Other languages were excluded. 6. Articles published prior to 1990 were excluded to ensure that current and salient data were presented (with the exception of some early influential papers). Relevant forensic pathology, psychology, sociology, epidemiology and psychoanalytic literature related with autoerotic asphyxia, asphyxial games and hypoxiphilia were all considered. Beneficiario Colfuturo 2011. Unintentional Asphyxial Deaths in Adolescence Autoerotic Asphyxia and Asphyxial Games as Part of the Same Syndrome Andrés Rodríguez Zorro 3.0 INTRODUCTION 3.1 DEFINITION OF AUTOEROTIC ASPHYXIA Autoerotic deaths have been defined by Byard 1, as “accidental deaths occurring during individual, usually solitary, sexual activity in which a device, apparatus, or prop used to enhance the sexual stimulation of the deceased in some way caused unintentional death”. Typical methods of autoerotic activity leading to death are mostly asphyxia maneuvers: hanging, ligature strangulation, plastic bag, chemical substances, or a combination of these. Other asphyxia methods includes: chest compression, positional asphyxia and drowning. Atypical methods include electrocution, overdressing/body wrapping, foreign-body insertion, and other miscellaneous methods 2. Autoerotic asphyxiation syndrome was described by Resnik 3 in 1973 as "repetitive erotic hanging", also known as asphyxiophilia or hypoxyphilia. It is a paraphilia in which sexual arousal and achieving orgasm depend on self-strangulation
Load more

Recommended publications
  • Choking Game” Awareness and Participation Among 8Th Graders — Oregon, 2008
    Morbidity and Mortality Weekly Report Weekly / Vol. 59 / No. 1 January 15, 2010 “Choking Game” Awareness and Participation Among 8th Graders — Oregon, 2008 The “choking game” is an activity in which persons strangu- based on the CDC’s Youth Risk Behavior Survey (YRBS) and late themselves to achieve euphoria through brief hypoxia (1). It includes questions on physical and mental health, sexual activ- is differentiated from autoerotic asphyxiation 2,3( ). The activity ity, substance use, physical activity/nutrition, and community can cause long-term disability and death among youths (4). In characteristics. In 2008, all 647 Oregon public middle and high 2008, CDC reported 82 deaths attributed to the choking game schools were part of the sampling frame, which was stratified and other strangulation activities during the period 1995–2007; into eight regions. Schools were sampled randomly from within most victims were adolescent males aged 11–16 years (4). To each region, with a total of 114 schools being sampled. The data assess the awareness and prevalence of this behavior among were weighted to achieve a statewide representative sample. 8th graders in Oregon, the Oregon Public Health Division Weighting was based on the probability of school and student added a question to the 2008 Oregon Healthy Teens survey selection, and a post-stratification adjustment for county par- concerning familiarity with and participation in this activity. ticipation. Schools use an active notification/passive consent This report describes the results of that survey, which indicated model with parents, who may decline their child’s participation. that 36.2% of 8th-grade respondents had heard of the choking In 2008, the survey contained a total of 188 questions, which game, 30.4% had heard of someone participating, and 5.7% had were designed to be completed in the course of a class period.
    [Show full text]
  • Cinema 4 Journal of Philosophy and the Moving Image Revista De Filosofia E Da Imagem Em Movimento
    CINEMA 4 JOURNAL OF PHILOSOPHY AND THE MOVING IMAGE REVISTA DE FILOSOFIA E DA IMAGEM EM MOVIMENTO PHILOSOPHY OF RELIGION edited by Sérgio Dias Branco FILOSOFIA DA RELIGIÃO editado por Sérgio Dias Branco EDITORS Patrícia Silveirinha Castello Branco (University of Beira Interior/IFILNOVA) Sérgio Dias Branco (University of Coimbra/IFILNOVA) Susana Viegas (IFILNOVA) EDITORIAL ADVISORY BOARD D. N. Rodowick (University of Chicago) Francesco Casetti (Università Cattolica del Sacro Cuore/Yale University) Georges Didi-Huberman (École des hautes études en sciences sociales) Ismail Norberto Xavier (University of São Paulo) João Mário Grilo (New University of Lisbon) Laura U. Marks (Simon Fraser University) Murray Smith (University of Kent) Noël Carroll (City University of New York) Patricia MacCormack (Anglia Ruskin University) Raymond Bellour (Centre national de la recherche scientifique/Université Sorbonne Nouvelle - Paris 3) Stephen Mulhall (University of Oxford) Thomas E. Wartenberg (Mount Holyoke College) INTERVIEWS EDITOR Susana Nascimento Duarte (IFILNOVA) BOOK REVIEWS EDITOR Maria Irene Aparício (IFILNOVA) CONFERENCE REPORTS EDITOR William Brown (University of Roehampton) ISSN 1647-8991 CATALOGS Directory of Open Access Journals The Philosopher’s Index PUBLICATION IFILNOVA - Nova Philosophy Institute Faculty of Social and Human Sciences New University of Lisbon Edifício I&D, 4.º Piso Av. de Berna 26 1069-061 Lisboa Portugal www.ifl.pt WEBSITE www.cjpmi.ifl.pt CINEMA: JOURNAL OF PHILOSOPHY AND THE MOVING IMAGE 4, “PHILOSOPHY OF RELIGION” Editor: Sérgio Dias Branco Peer reviewers: Ashish Avikuntak, Christine A. James, Inês Gil, João Constâncio, John Caruana, M. Gail Hamner, Mark Hanshaw, Melissa Conroy, Sérgio Dias Branco, Susana Nascimento Duarte, Susana Viegas, William Blizek Cover: The Silence (Tystnaden, 1963), dir.
    [Show full text]
  • When Self-Pleasuring Becomes Self-Destruction: Autoerotic Asphyxiation Paraphilia Andrew P
    When Self-Pleasuring Becomes Self-Destruction: Autoerotic Asphyxiation Paraphilia Andrew P. Jenkins, Ph.D., CHES, EMT1 1Associate Professor, Health Education, Central Washington University Corresponding author: Andrew P. Jenkins, Associate Professor, Health Education Programs, Central Washington University, Ellensburg, WA 98926, phone: 503.963.1041; email: [email protected] Abstract Autoerotic asphyxia is presented in literature review form. Etiology, prevalence statistics, and a profile of AEA participants is provided. The author identifies autoerotic asphyxia as a form of sub-intentional suicide. Warning signs of AEA are presented. Possible sources of mis-information are given. Prevention and education recommendations for administrators, faculty, and parents are provided. A suggested reading list is provided. A part time computer programmer and full- many of the common primary components of time mother comes home from the office early autoerotic asphyxia cases. on Friday afternoon to share a video and a The purpose of this article is to provide the reader pizza with her 15 year old son, Lance. His with information regarding this dangerous behavior bedroom seems unusually quiet on this and to provide a framework in which to place it in the afternoon. Absent is the din of his favorite context of adolescent sexuality, suicide, and education. Smashing Pumpkins CD. She saunters down The literature in this area is somewhat limited with the hallway while calling his name, pushes virtually no articles appearing in the health and open his bedroom door and then collapses on education journals directed at prevention of this the floor in a flood of emotions launched by behavior. This paper provides an objective overview a graphic scene displayed in the room before of the behavior, the typical practitioner, a list of her.
    [Show full text]
  • The Killing of Women in 'Sex Games Gone Wrong': an Analysis Of
    1 THE KILLING OF WOMEN IN ‘SEX GAMES GONE WRONG’: AN ANALYSIS OF FEMICIDES IN GREAT BRITAIN 2000 – 2018 Professor Elizabeth Yardley Birmingham City University, UK [email protected] Department of Sociology and Criminology Business, Law and Social Sciences The Curzon Building 4 Cardigan Street Birmingham B4 7BD 0121 331 6612 / 07810 866 485 AUTHORS NOTE The author would like to thank Fiona Mackenzie of We Can’t Consent to This for her assistance in identifying cases and the anonymous reviewers for their thoughtful and helpful feedback on the manuscript. KEYWORDS Femicide; rough sex. 2 ABSTRACT This research investigated cases of femicide in Great Britain where perpetrators had claimed that victims died in 'sex games gone wrong'. Forty-three femicides that resulted in a conviction for murder, manslaughter or culpable homicide were examined in relation to victim-perpetrator socio-demographic characteristics, victim-perpetrator relationship, homicide details and criminal justice outcomes. Key patterns within the data were identified. The research highlights that the 'sex game gone wrong' narrative has gained traction against a cultural backdrop of normalised BDSM within neoliberal political economy. 1 INTRODUCTION In December 2016, John Broadhurst killed his girlfriend Natalie Connolly. Natalie’s body was found in the hallway of the home they shared in Worcestershire, England. Natalie had a blood alcohol level of 389 mg per 100 ml - five times the drink drive limit (R v Broadhurst). She had sustained over forty separate injuries, the majority of which had been caused by Broadhurst striking her with his hand and a boot and inserting a bottle of spray carpet cleaner – a large container with a trigger attachment - into her vagina (R v Broadhurst).
    [Show full text]
  • (Heads Tails Xfiles).Pdf
    jHeads & tails M.M. FaeFae GlasgowGlasgow Bene Dictum IV An X-Files Slash Zine Bene Dictum IV: Heads & Tails Bene Dictum IV: Heads & Tails an anthology of X-Files slash fiction is available from: 71,500 words OBLIQUE PUBLICATIONS editing and design by Caroline K. Carbis P.O. BOX 43784 TUCSON, AZ USA 85733-3784 email: [email protected] An age statement is required with all orders. Also available from Oblique Publications (Note: All publications are slash and require an age statement with each and every order.) Journey West WARNING: A Professionals slash novel THIS ANTHOLOGY CONTAINS SAME-SEX, By Maiden Wyoming ADULT-ORIENTED MATERIAL. IT WILL NOT BE SOLD TO ANYONE UNDER THE AGE OF the OBLAQUE series (Blake’s 7 slash) EIGHTEEN. Oblaque Oblaquer Oblaquest Oblaque IV: to be taken intravenously Oblaque V: in venery veritas Beginning 1999 Oblaque Sextus Oblique Publications’ library of zines will be available the BENT COPPERS series (Professionals slash) for free download in PDF format from its website. …As a £3 Note www.oblique-publications.net …As Two £3 Notes …As Three £3 Notes the PÆAN TO PRIAPUS series (multi-media and literary slash) Pæan to Priapus, volumes I, II, III, IV, V, VI the BENE DICTUM series (well put, well said, well dicked) Bene Dictum I: A Dickensian Christmas by M. FAE GLASGOW (Christmas themed Professionals stories) Bene Dictum II: Half ’n’ Half (Half Professionals/Half Blake’s 7) Bene Dictum III: Naughts & Crosses (Three Professionals novellas by Sebastian, Helen Raven, & M. Fae Glasgow) Bene Dictum IV: Heads & Tails is an amateur publication, copyright © February 1999 by Oblique Publications.
    [Show full text]
  • List of Paraphilias
    List of paraphilias Paraphilias are sexual interests in objects, situations, or individuals that are atypical. The American Psychiatric Association, in its Paraphilia Diagnostic and Statistical Manual, Fifth Edition (DSM), draws a Specialty Psychiatry distinction between paraphilias (which it describes as atypical sexual interests) and paraphilic disorders (which additionally require the experience of distress or impairment in functioning).[1][2] Some paraphilias have more than one term to describe them, and some terms overlap with others. Paraphilias without DSM codes listed come under DSM 302.9, "Paraphilia NOS (Not Otherwise Specified)". In his 2008 book on sexual pathologies, Anil Aggrawal compiled a list of 547 terms describing paraphilic sexual interests. He cautioned, however, that "not all these paraphilias have necessarily been seen in clinical setups. This may not be because they do not exist, but because they are so innocuous they are never brought to the notice of clinicians or dismissed by them. Like allergies, sexual arousal may occur from anything under the sun, including the sun."[3] Most of the following names for paraphilias, constructed in the nineteenth and especially twentieth centuries from Greek and Latin roots (see List of medical roots, suffixes and prefixes), are used in medical contexts only. Contents A · B · C · D · E · F · G · H · I · J · K · L · M · N · O · P · Q · R · S · T · U · V · W · X · Y · Z Paraphilias A Paraphilia Focus of erotic interest Abasiophilia People with impaired mobility[4] Acrotomophilia
    [Show full text]
  • University of Birmingham Dying for Sex
    University of Birmingham Dying for Sex: Downing, Lisa DOI: 10.3898/NEWF:89/90.08.2016 License: Other (please specify with Rights Statement) Document Version Peer reviewed version Citation for published version (Harvard): Downing, L 2016, 'Dying for Sex: Cultural and Forensic Narratives of Autoerotic Death', New Formations, vol. 89/90, pp. 137-152. https://doi.org/10.3898/NEWF:89/90.08.2016 Link to publication on Research at Birmingham portal Publisher Rights Statement: When an article is accepted for publication through a journal’s peer review process, authors will be notified of acceptance by email, and at this point they will be able to deposit the pre-published version on their personal website, on their university department website or in their institution’s research repository. General rights Unless a licence is specified above, all rights (including copyright and moral rights) in this document are retained by the authors and/or the copyright holders. The express permission of the copyright holder must be obtained for any use of this material other than for purposes permitted by law. •Users may freely distribute the URL that is used to identify this publication. •Users may download and/or print one copy of the publication from the University of Birmingham research portal for the purpose of private study or non-commercial research. •User may use extracts from the document in line with the concept of ‘fair dealing’ under the Copyright, Designs and Patents Act 1988 (?) •Users may not further distribute the material nor use it for the purposes of commercial gain. Where a licence is displayed above, please note the terms and conditions of the licence govern your use of this document.
    [Show full text]
  • Heterosexual+Missionary+As+The+
    Advances)in)Social)Sciences)Research)Journal)–)Vol.2,)No.5) ! Publication)Date:!May!25,!2015! DoI:10.14738/assrj.25.1181.! Reysen,' S.,' Shaw,' J.,' &' Brooks,' T.' R.' (2015).' Heterosexual' Missionary' as' the' Sexual' Default' and' Stigmatizationof' Perceived' ! Infrequent'Sexual'Activities.)Advances)in)Social)Sciences)Research)Journal,)2(5))93B104' ! Heterosexual+Missionary+as+the+Sexual+Default+and+ Stigmatization*of*Perceived*Infrequent*Sexual*Activities) ! Stephen)Reysen) Texas!A&M!UniversityJCommerce! ! Jennifer)Shaw) Texas!A&M!UniversityJCommerce! ! Thomas)R.)Brooks) University!of!Texas!at!Arlington! ! Abstract) In) the) present) study) we) examined) whether) heterosexual) vaginal) intercourse) is) the) default)prototype)of)sex)and)the)association)between)the)perceived)frequency)of)sexual) activities)and)prejudice)toward)individuals)who)engage)in)those)activities.)Participants) rated) 132) sexual) activities) and) preferences) with) respect) to) perceived) frequency) that) others) engage) in) those) activities) and) prejudice) toward) others) who) engage) in) the) activities.)The)results)suggested)that)heterosexual)vaginal)intercourse)(missionary))is) the) default) prototype) of) sex.) Furthermore,) the) results) showed) a) strong) association) between) the) perceived) infrequency) of) sexual) activities) and) prejudice) toward) individuals) who) engage) in) them.) Together,) the) results) suggested) that) the) perceived) norms) of) sexual) behaviors) contribute) to) the) perceptions) of) other) individuals) and) groups.))) )
    [Show full text]
  • COLONEL SODOM GOES to GOMORRAH Jonathan Bowden
    COLONEL SODOM GOES TO GOMORRAH Jonathan Bowden First Edition Published September 2011 Printed in Great Britain Copyright © Jonathan Bowden 2011 All Rights Reserved Cover design and layout by Daniel Smalley Cover painting ‘The Marquis de Sade’ by Jonathan Bowden ISBN 978-0-9565120-4-8 The Spinning Top Club BM Refine London WC1N 3XX www.jonathanbowden.co.uk Albert Louden (1942-) --- Obese women Matriarchs most rare Across the mantle Of an orange sky Float between Leyton’s Sky-scrapers Wearing green aprons. Dedicated to Dorothy Bowden (1931-1978) Jonathan Bowden Photo by Daniel Smalley Studio Sade, or Colonel Sodom Goes To Gomorrah SADE, or COLONEL SODOM GOES TO GOMORRAH A non-fiction novel ONE A face haunts modern psychiatry or sexology, per se, and it places an ebon hand upon a mustard screen. Could it be a photogravure’s negative or a mezzotint (?)… the hint of which gives itself up to rare oils. These examine themselves in the light of Charenton’s Oeuvre; where a ‘progressive’ asylum allows the inmates to enact their own plays. Immediately our shadow or silhouette becomes clearer, and Man Ray’s dissimulation waxes large. Do you remember his painting or sketch? It’s not a photograph (exactly) rather a memorial to the Marquis de Sade, the Charenton asylum’s most notorious inmate. The ‘divine’ Marquis appears bloated, heavy, morbidly obese, dense, and also scorbutic – the effect of an absent sun in Vincennes’ cells. His mother-in-law was disappointed in him, (you see). Nonetheless, Donatien Alphonse Francois gave off the whiff of a pantomime dame… albeit in a sinister mien.
    [Show full text]
  • Autoerotic Asphyxiation: Secret Pleasure—Lethal Outcome?
    Autoerotic Asphyxiation: Secret Pleasure—Lethal Outcome? WHAT’S KNOWN ON THIS SUBJECT: Centuries old, AEA first AUTHOR: Daniel D. Cowell, MD, MLS, CPHQ appeared in medical literature in 1856. Etiology is speculative, Departments of Psychiatry and Behavioral Medicine and and the majority of reports deal with fatal cases. Distortions of Graduate Medical Education, Marshall University, Joan C. normal development on the basis of psychoanalytic theories are the Edwards School of Medicine, Huntington, West Virginia most prevalent understanding of the disorder. KEY WORDS asphyxiation, “choking games,” hypoxia/anoxia, lethal, WHAT THIS STUDY ADDS: AEA is little known beyond forensic masochism/sadism, sexual stimulation, suffocation, suicide medicine and is generally regarded as a curiosity rather than a ABBREVIATION medical disorder whose onset is in childhood or adolescence. AEA—autoerotic asphyxiation This study adds understanding of causation and provides guidance to www.pediatrics.org/cgi/doi/10.1542/peds.2009-0730 pediatricians on recognition and management. doi:10.1542/peds.2009-0730 Accepted for publication Jun 4, 2009 Address correspondence to Daniel D. Cowell, MD, MLS, CPHQ, Departments of Psychiatry and Behavioral Medicine, and Graduate Medical Education, Marshall University, Joan C. abstract Edwards School of Medicine, 1600 Medical Center Dr, Suite 3414, Huntington, WV 25701. E-mail: [email protected] OBJECTIVE: Voluntary asphyxiation among children, preteens, and ad- PEDIATRICS (ISSN Numbers: Print, 0031-4005; Online, 1098-4275). olescents by hanging or other means of inducing hypoxia/anoxia to Copyright © 2009 by the American Academy of Pediatrics enhance sexual excitement is not uncommon and can lead to unin- FINANCIAL DISCLOSURE: The author has indicated he has no tended death.
    [Show full text]
  • Indian Country Issues
    Indian Country Issues In Tbis Issue . Jurisdictional Conflicts Between Tribes and States: Disputes Over Land Set Aside Pursuant to the Indian Reorganization Act and July Reservation Boundary Disputes .............................. 1 2014 By Gina Allery and Darou T. Carreiro Volume62 Number4 Protecting the Civil Rights of American Indians and Alaska Natives: The Civil Rights Division's Indian Working Group ............. 10 Uniled,States By Verlin Deerinwater and Susana Lorenzo-Giguere Department of1\lstice l!!:xeeutive Office fur United States Altom.y. Wubington, DC Reentry Programming in Indian Country: Building the Third Leg 20530 of the Stool ............................................... 16 Monty Wilkinson By Timothy Q. Purdon Director Contributors' opinions and statements Native Children Exposed to Violence: Defending Childhood in should not be considered an Indian Country and Alaska Native Communities ............... 22 endorsoment by EOUSA fur any poJicy1 program, or service By Amanda Marshall Tbe United Statos Altomeys' Bulletin is published plll'$uant to Investigating and Prosecuting the Non-Fatal Strangulation Case .. 28 28 CFR § 0 22(b) By Leslie A. Hagen Tbe United StaleS Altornoys' Bulletin ;. publilbed bJmonthly by the Executive Office fur United States Native American Graves Protection and Repatriation Act Attorney., Offico ofLegall!dueation, 1620Pendleto.IIStreet, (NAGPRA): The Law Is Not an Authorization for Disinterment . .41 Columbia, Seulh Carolina 29201 By Sherry Hutt and David Tarler Manaatn~ Editor The Investigation
    [Show full text]
  • The Devniad Book 70C Un Zine De Bob Devney 25 Johnson Street, North Attleboro, MA 02760 U.S.A
    The Devniad Book 70c un zine de Bob Devney 25 Johnson Street, North Attleboro, MA 02760 U.S.A. e-mail: [email protected] For APA:NESFA #369 February 2001 copyright 2001 by Robert E. Devney Orbita Dicta Heard in the Halls of [At Registration, bibliopole Art Henderson isn’t Boskone 38 relishing his weekend-long exile to the dealers’ room] Sheraton Framingham Hotel Write it up so I’ll know what I missed. Framingham, Massachusetts, U.S.A. February 16-18, 2001 [My precisionista bro-in-law Bob Kuhn driving home from dinner Friday night, on Bertucci’s So you must know the drill by now, being listed in the Boskone Restaurant Guide as people. I go to a science fiction con, listen to 4.3 miles from the hotel while Bennigan’s right what people say, take mostly illegible notes, across the street is listed at 4.4] and fake them I mean write them up for I’ll excuse the possibility of error. It’s you. [My comments on each quote are in inconsistency I can’t stand. brackets a lot like these.] This time, there were on hand an [At the panel on Anime and Manga (which unusual number of my spies, who do the starts with few attendees not including Alice same thing not quite so obsessively. Lewis, who was stuck in traffic until the last 10 Without blowing their cover, let’s just say minutes of the panel), fan Christine Carpenito I’d like to thank Darcy Devney, Bob Kuhn, surveys the scene] James Marshall, Sarah O’Connor, and Mark Right in Cambridge, we’ve got anime at Mandel.
    [Show full text]